Abstract

Optimal early childhood development (ECD) is currently jeopardized for more than 250 million children under five in low- and middle-income countries. The Sustainable Development Goals has called for a renewed emphasis on children’s wellbeing, encompassing a holistic approach that ensures nurturing care to facilitate optimal child development. In vulnerable contexts, the extent of a family’s available resources can influence a child’s potential of reaching its optimal development. Few studies have examined these relationships in low- and middle-income countries using nationally representative samples. The present paper explored the relationships between maternal and paternal psychosocial stimulation of the child as well as maternal and household resources and ECD among 2729 children 36–59 months old in Honduras. Data from the Demographic and Health Surveys conducted in 2011–2012 was used. Adjusted logistic regression analyses showed that maternal psychosocial stimulation was positively and significantly associated with ECD in the full, rural, and lowest wealth quintile samples. These findings underscore the importance of maternal engagement in facilitating ECD but also highlight the role of context when designing tailored interventions to improve ECD.

Highlights

  • Optimal early childhood development (ECD) is currently jeopardized for more than 250 million children under five in low- and middle-income countries [1,2]

  • The sample had a slight overweight of boys (53% boys compared to 47% girls)

  • 48% of the sample lived in urban areas, and 52% lived in rural areas

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Summary

Introduction

Optimal early childhood development (ECD) is currently jeopardized for more than 250 million children under five in low- and middle-income countries [1,2]. Suboptimal development is associated with a range of unfavorable outcomes such as childhood stunting [3], lower adult educational attainment [4], and lower wages in adulthood [5]. Black et al [1] have proposed a theoretical life course conceptual framework of ECD in which ECD is contingent on factors at different levels: nurturing care; an enabling environment for the caregiver, family and community; and social, economic, political, climatic, and cultural contexts. Nurturing care comprises a wide range of essential care dimensions related to health, nutrition, security and safety, responsive caregiving, and early learning.

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